Ethical issues in neurology
Mar. 28, 2018
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This patient has a history of acute hypertension of rapid onset and renal failure secondary to glomerulonephritis. He has been on kidney dialysis twice a week for 4 months. The macular star and cotton-wool spots seen in this fundus are seen in acute hypertension. In chronic hypertension, the eye signs are much more subtle and take many years to develop. (Contributed by Dr. Rosa A Tang.)